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Embolisation von Katheterbeschichtung in das Myokard

Embolization of hydrophilic guide wire coating

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Zusammenfassung

Interventionelle kardiovaskuläre Eingriffe nehmen stetig zu. Die verwendeten Führungskatheter sind mit hydrophilem Material beschichtet, das Einführen wie Kontrolle der Katheter erleichtert und gleichzeitig vaskuläre Spasmen verhindert. Wir berichten von 2 Fällen, bei denen die Verwendung eines ChoICE®-PT-Führungskatheters bei Koronarangiographie zu einer Embolisation dieser hydrophilen Beschichtung mit nachfolgendem Verschluss kleiner intramyokardialer Arterien führte.

Abstract

The number of interventional cardiovascular procedures has been rising steadily. Such procedures include the intravascular insertion of catheters and guide wires. These devices consist of a metallic core and coil that may be covered by hydrophilic coating to ease crossability and control for challenging lesions. We report two cases where insertion of a ChoICE® PT guide wire into the coronary artery led to embolization of the hydrophilic coating material with occlusion of small intramyocardial arteries.

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Literatur

  1. Allan R, Alnuaimat H, Edwards WD, Tazelaar HD (2009) Embolization of hydrophilic catheter coating to the lungs: report of a case mimicking granulomatous vasculitis. Am J Clin Pathol 132:794–797

    Article  PubMed  Google Scholar 

  2. Barnwell SL, D’Agostino AN, Shapiro SL et al (1997) Foreign bodies in small arteries after use of an infusion microcatheter. AJNR Am J Neuroradiol 18:1886–1889

    PubMed  CAS  Google Scholar 

  3. El-Najjar V, Robinson M (2012) Autopsy demonstration of intramyocardial polymer gel emboli associated with a giant-cell reaction following cardiac catheterization: a case report. Cardiovasc Pathol 21:59–61

    Article  PubMed  Google Scholar 

  4. Fealey ME, Edwards WD, Giannini C et al (2008) Complications of endovascular polymers associated with vascular introducer sheaths and metallic coils in 3 patients, with literature review. Am J Surg Pathol 32:1310–1316

    Article  PubMed  Google Scholar 

  5. Mehta RI, Solis OE, Jahan R et al (2010) Hydrophilic polymer emboli: an under-recognized iatrogenic cause of ischemia and infarct. Mod Pathol 23:921–930

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Institut für Pathologie, Universitätsspital Basel, Schönbeinstr. 40, 4031, Basel, Schweiz

    S. Muenst & K. Glatz

  2. Kantonales Institut für Pathologie, Liestal, Schweiz

    N. Willi & G. Cathomas

  3. Department für Kardiologie, Universitätsspital Basel, Basel, Schweiz

    R.V. Jeger

  4. Department für Chirurgie, Universitätsspital Basel, Basel, Schweiz

    S.D. Soysal

Authors
  1. S. Muenst
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  2. N. Willi
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  3. G. Cathomas
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  4. R.V. Jeger
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  5. S.D. Soysal
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  6. K. Glatz
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Corresponding author

Correspondence to S. Muenst.

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Muenst, S., Willi, N., Cathomas, G. et al. Embolisation von Katheterbeschichtung in das Myokard. Pathologe 33, 345–347 (2012). https://doi.org/10.1007/s00292-012-1588-6

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  • DOI: https://doi.org/10.1007/s00292-012-1588-6

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